A surgical energy system includes a first and second surgical instruments and a generator including a universal interface. The first surgical instrument includes a first instrument connector having one or more instrument couplers disposed in a first instrument coupler configuration. The second surgical instrument includes a second instrument connector having one or more instrument couplers disposed in a second instrument coupler configuration. The first and second instrument coupler configurations are different. The generator includes a universal interface including generator couplers arranged to provide generator coupler configurations at the universal interface. Each generator coupler configuration accommodates one of the first and second instrument coupler configurations in order to electronically couple the generator to a respective one of the first and second surgical instruments.
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10. A generator comprising:
a housing;
a universal connector port supported by the housing, the universal connector port being a singular port;
a plurality of generator couplers coupled to the universal connector port and configurable into a first generator coupler configuration that interfaces with at least one first instrument coupler disposed in a first instrument coupler configuration and a second generator coupler configuration that interfaces with at least one second instrument coupler disposed in a second instrument coupler configuration;
a generator communication component configured to identify the at least one first instrument coupler and the at least one second instrument coupler and cause at least one of the plurality of generator couplers to move into the first generator coupler configuration or the second generator coupler configuration in response to the generator communication component identifying a respective one of the at least one first instrument coupler or the at least one second instrument coupler; and
at least one output module in electrical communication with the universal connector port, the at least one output module configured to transmit an energy to at least one of the first or second instrument couplers, the at least one output module configured to be removably secured in the housing.
17. A generator comprising:
a housing;
a universal connector port supported by the housing, the universal connector port being a singular port and including a plurality of generator couplers, the plurality of generator couplers configurable into a first generator coupler configuration that interfaces with at least one first instrument coupler disposed in a first instrument coupler configuration and a second generator coupler configuration that interfaces with at least one second instrument coupler disposed in a second instrument coupler configuration;
a generator communication component configured to identify the at least one first instrument coupler and the at least one second instrument coupler and cause at least one of the plurality of generator couplers to move into the first generator coupler configuration or the second generator coupler configuration in response to the generator communication component identifying a respective one of the at least one first instrument coupler or the at least one second instrument coupler;
a plurality of output modules, each of the plurality of output modules in electrical communication with the universal connector port, each of the plurality of output modules configured to transmit an energy to at least one of a plurality of surgical instruments when coupled to the universal connector port, each of the plurality of output modules configured to be removably secured in the housing; and
a plurality of receptacles supported within the housing, each receptacle configured to removably receive at least one of the plurality of output modules.
1. A surgical energy system, comprising:
a first surgical instrument including a first instrument connector having at least one first instrument coupler disposed in a first instrument coupler configuration;
a second surgical instrument including a second instrument connector having at least one second instrument coupler disposed in a second instrument coupler configuration, the first and second instrument coupler configurations being different;
a generator including a housing and a universal connector port, the universal connector port being a singular port and configured to receive one of the first instrument connector or the second instrument connector, the universal connector port including a plurality of generator couplers configurable into a first generator coupler configuration that interfaces with the at least one first instrument coupler disposed in the first instrument coupler configuration and a second generator coupler configuration that interfaces with the at least one second instrument coupler disposed in the second instrument coupler configuration in order to electrically couple the generator to a respective one of the first surgical instrument or the second surgical instrument;
a generator communication component coupled to the generator and configured to identify the first and second surgical instruments and cause at least one of the plurality of generator couplers to move into the first generator coupler configuration or the second generator coupler configuration in response to the generator communication component identifying a respective one of the first or second surgical instruments; and
at least one output module in electrical communication with the universal connector port, the at least one output module configured to transmit an energy to at least one of the first or second surgical instruments, the at least one output module configured to be removably secured in the housing of the generator.
2. The surgical energy system of
3. The surgical energy system of
4. The surgical energy system of
5. The surgical energy system of
6. The surgical energy system of
7. The surgical energy system of
8. The surgical energy system of
9. The generator of
11. The generator of
12. The generator of
13. The generator of
14. The generator of
15. The generator of
16. The generator of
18. The generator of
19. The generator of
20. The generator of
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The present disclosure relates to surgical energy, and more particularly, the present disclosure is directed to apparatuses, systems and methods for coupling surgical instruments to surgical generators for effectuating energy-based tissue treatment.
Energy-based tissue treatment is well known in the art. Various types of energy (e.g., electrical, ultrasonic, microwave, cryogenic, heat, laser, etc.) are applied to tissue to achieve a desired result. For example, electrosurgery involves application of high radio frequency electrical current, microwave energy or resistive heating to a surgical site to cut, ablate, coagulate or seal tissue.
In bipolar electrosurgery, one of the electrodes of the hand-held instrument functions as the active electrode and the other as the return electrode. The return electrode is placed in close proximity to the active electrode such that an electrical circuit is formed between the two electrodes (e.g., electrosurgical forceps). In this manner, the applied electrical current is limited to the body tissue positioned between the electrodes.
Bipolar electrosurgical techniques and instruments can be used to coagulate blood vessels or tissue, e.g., soft tissue structures, such as lung, brain and intestine. A surgeon can either cauterize, coagulate/desiccate and/or simply reduce or slow bleeding, by controlling the intensity, frequency and duration of the electrosurgical energy applied between the electrodes and through the tissue. In order to achieve one of these desired surgical effects without causing unwanted charring of tissue at the surgical site or causing collateral damage to adjacent tissue, e.g., thermal spread, it is necessary to control the output from the electrosurgical generator, e.g., power, waveform, voltage, current, pulse rate, etc.
In monopolar electrosurgery, the active electrode is typically a part of the surgical instrument held by the surgeon that is applied to the tissue to be treated. A patient return electrode is placed remotely from the active electrode to carry the current back to the generator and safely disperse current applied by the active electrode. The return electrodes usually have a large patient contact surface area to minimize heating at that site. Heating is caused by high current densities which directly depend on the surface area. A larger surface contact area results in lower localized heat intensity. Return electrodes are typically sized based on assumptions of the maximum current utilized during a particular surgical procedure and the duty cycle (i.e., the percentage of time the generator is on).
Still, given that energy-based treatment may involve many different apparatuses and/or systems, irrespective of the type of energy modality utilized; such treatment often requires multiple connectors, plugs, and/or the like for coupling and/or interchanging these apparatuses, systems, and/or components thereof in order to effectuate desired energy-based treatments.
Accordingly, one aspect of the present disclosure is directed to a surgical energy system that includes first and second surgical instruments and a generator. The first surgical instrument includes a first instrument connector having one or more instrument couplers disposed in a first instrument coupler configuration. The second surgical instrument includes a second instrument connector having one or more instrument couplers disposed in a second instrument coupler configuration. The first and second instrument coupler configurations are different.
The generator includes a universal interface having generator couplers arranged to provide generator coupler configurations at the universal interface. Each generator coupler configuration is configured to accommodate one of the first and second instrument coupler configurations in order to electronically couple the generator to a respective one of the first and second surgical instruments.
In some embodiments, the generator includes one or more receptacles configured to receive one or more output modules. The one or more output modules may be configured to cooperate with one or more of the first and second surgical instruments when coupled to the generator. The one or more output modules may include an output energy module. The output energy module may include an inverter configured to output energy at an ultrasonic frequency, a microwave frequency, a radio frequency, or combinations thereof. In certain embodiments, the output module includes one or more mechanical components configured to transfer mechanical forces to the respective one of the first and second surgical instruments to enable the respective one of the first and second surgical instruments to perform one or more functions.
In certain embodiments, the one or more output modules may be configured to cooperate with one or more of the first and second surgical instruments when coupled to the generator. The one or more output modules may include a first output module and a second output module. One of the receptacles may removably receive a first one of the first and second output modules. The first one of the first and second output modules may be removable from one or more of the receptacles and replaceable with a second one of the first and second output modules.
In some embodiments, the receptacles may include a first receptacle and a second receptacle. One or more output modules may include a first output energy module and a second output energy module. The first output energy module may be configured to provide a first energy modality and the second output energy module may be configured to provide a second energy modality that is different from the first energy modality. The first receptacle may be configured to receive the first output energy module. The second receptacle may be configured to receive the second output energy module.
According to another aspect of the present disclosure, a generator includes a housing, a universal interface supported by the housing, and generator couplers coupled to the universal interface. The generator couplers are arranged to provide generator coupler configurations at the universal interface. A first one of the generator coupler configurations is configured to accommodate a first instrument connector and a second one of the generator coupler configurations is configured to accommodate a second instrument connector.
In some embodiments, the housing includes one or more receptacles configured to receive one or more output modules.
In certain embodiments, the housing includes receptacles configured to receive output modules. Each output module may be configured to cooperate with one or more of the first and second surgical instruments when coupled to the generator to enable the respective one of the first and second surgical instruments to perform one or more functions.
In some embodiments, one or more of the generator couplers are movable relative to the housing to facilitate coupling with one of the first and second instrument connectors of respective first and second instruments.
According to still another aspect of the present disclosure, a generator includes a housing, a universal interface supported by the housing, output modules, and receptacles supported within the housing. Each of the output modules is configured to cooperate with one or more surgical instruments when coupled to the universal interface. Each receptacle is configured to removably receive one or more of the output modules.
Other aspects, features, and advantages will be apparent from the description, the drawings, and the claims that follow.
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiment(s) given below, serve to explain the principles of the disclosure, wherein:
Particular embodiments of the present disclosure are described hereinbelow with reference to the accompanying drawings in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein, the term “distal” refers to that portion of the system, apparatus and/or device, or component thereof, that are farther from the user, while the term “proximal” refers to that portion of the system, apparatus and/or device, or component thereof, that are closer to the user. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.
Turning now to
The one or more surgical instruments 10 may include any suitable surgical instrument such as an ultrasonic forceps 12, an open forceps 14, a suction coagulator 16, a surgical pencil 18, an ablation needle 20, a bipolar forceps 22, etc. The one or more surgical instruments 10 may be configured for any suitable energy-based tissue treatment such as electrical, ultrasonic, microwave, cryogenic, heat, laser, etc. For a detailed description of the construction and operation of example surgical instruments, reference may be made to U.S. Pat. No. 8,968,311 (bipolar forceps), U.S. Pat. No. 9,017,372 (open forceps), U.S. Pat. No. 7,156,844 (surgical pencil), U.S. Pat. No. 5,766,167 (monopolar forceps), U.S. Pat. No. 8,182,480 (suction coagulator), U.S. Patent Application Publication No. 2013/032491 (ablation needle), U.S. Patent Application Publication No. 2004/0054364 (ultrasonic), each of which is incorporated herein by reference.
As seen in
In some embodiments, one or more of the instrument connectors 12a-22a may include one or more communication components (e.g. processors, sensors, etc.) such as communication components 12c-22c to provide communication and/or power between the respective surgical instrument 10 and the generator 100. One or more of the communication components 12c-22c may be configured to indicate the type of instrument to which the respective instrument connector 12a-22a is coupled (e.g., via stored information). In some embodiments, the communication components 12a-22a may include a bar code, Aztec code, and/or other readable indicia.
As seen in
In some embodiments, the universal interface 108 may include mechanical and/or electrical components configured to provide a plug-and-play interface. The universal interface 108 may be electrically and/or mechanically coupled to one or more generator couplers 112 that couple to the one or more receptacles 104. In some embodiments, the universal interface 108 may be directly coupled to one or more of the receptacles 104 and/or one or more of the output modules 200.
In certain embodiments, the generator 100 may include one or more doors 105 that are moveable between open and closed positions to selectively provide access to the one or more receptacles 104. The doors 105 may include a handle 105a or like to enable a clinician to move the doors 105 between the open and closed positions.
With reference to
The output modules 200 can include any suitable output module. In some embodiments, one or more of the output modules 200 may be an output energy module, a fluid/material supply and/or return module, a sensor module, etc. (e.g., output modules 200a-200d). For example, one or more of the output modules 200 can be configured to provide one or more various energy sources such as radiofrequency (e.g., bipolar, monopolar), laser/optic, pneumatics, hydraulics, microwave, chemical, plasma, light, etc.). The one or more output modules 200 may include any number of sensors (e.g., proximity, impedance, etc.). In some embodiments, one or more of the output modules 200 may be configured to supply and/or return fluids and/or materials, for instance, to tissue during a tissue sealing procedure. In some embodiments, the one or more output modules 200 include a gas supply module, a coolant supply module, or combinations thereof. One or more of the output modules 200 may be dependent and/or independent of one or more of the other output modules 200.
The output modules 200 may include one or more subcomponents 202, 204, etc. The one or more subcomponents 202, 204, 206, 208, 210, etc. may include any suitable mechanical, electrical, and/or chemical features such as inverters, microcontrollers, electrical wiring, gears, motors, cables, semi-conductors, pneumatics, hydraulics, cameras, scanners, etc. For instance, the one more output modules 200 may include an inverter configured to output energy at one or more of an ultrasonic frequency, a microwave frequency, a radio frequency, etc. In certain embodiments, different output modules may be configured to provide different energy modalities. In some embodiments, one of the output modules 200 may provide ultrasonic energy while another of the output modules 200 may provide radiofrequency energy such as monopolar or bipolar. In some embodiments, different output modules may be configured to provide the same energy modalities. In certain embodiments, one or more of the output modules 200 may provide multiple energy modalities.
In some embodiments, the one or more subcomponents 202, 204, 206, 208, 210 may include material or fluid sources such as collagen, plastic, biomaterials, argon, saline, etc. In certain embodiments, the one or more subcomponents 202, 204, 206, 208, 210 may provide a vacuum source.
In certain embodiments, the one more output modules 200 may include one or more subcomponents 202 that may include one or more mechanical components (couplers, bearings, shafts, cables, gears, motors, nuts, screws, pneumatics, hyradulics, etc.) configured to transfer mechanical forces to one or more surgical instruments 10 that couple to the generator 100 to enable the respective surgical instruments to perform a certain function.
In some embodiments, the generator 100 may include one or more output modules and/or other mechanical, electrical, and/or chemical components, etc. that may be integral with the generator 100.
In certain embodiments, the generator 100 and/or one or more of the output modules 200 may be configured to supply direct and/or alternating current, for example; to articulate, rotate, and/or fire a surgical instrument 10; power one or more motors; etc.
As seen in
As seen in
In certain embodiments, movement of the generator couplers 116a-116f may be effectuated via a drive assembly 120 operatively coupled to the generator couplers 116a-116f in response to an identification of the type of instrument connector via a generator communication component 118 of the interface 108. The generator communication component 118 can be configured to sense or otherwise read the communication components 12c-22c of the instrument connectors 12a-22a to identify (to the controller 110) the type of instrument 10 to which the instrument connector 12a-22a is coupled so that the controller 110 can coordinate the operation of the components of the generator 100 and/or the surgical instrument 10 attached thereto. In response to a coupling (or an attempted coupling) of an instrument connector to the interface 108, the controller 110 may issue output such as connection or error notifications on the display 106 of the generator 100. The generator communication component 118 can be configured to detect any suitable information such size, style, types etc. of the surgical instrument 10 and/or components thereof (e.g., the respective instrument connector) so that the controller 110 can coordinate the appropriate energy, signals, etc.
As seen in
In some embodiments, the generator 100 may be configured to receive, store and/or send information such as patient medical records and/or one or more medical databases. The generator 100 may be configured to provide video and/or audio capture. In some embodiments, the generator 100 may be configured to create log files. In certain embodiments, the generator 100 may be configured to provide real-time and/or periodic data transfers. In some embodiments, the generator 100 may be configured to provide snapshot data (e.g., Ligasure™ seal data). In certain embodiments, the generator 100 may be configured to utilize information to predetermine modalities, connections, etc. as need for particular patients, procedures, etc. In some embodiments, the generator 100 may be configured to suggest configurations and/or default to a predetermined pre-op configuration.
The various embodiments disclosed herein may also be configured to work with robotic surgical systems and what is commonly referred to as “Telesurgery.” Such systems employ various robotic elements to assist the surgeon and allow remote operation (or partial remote operation) of surgical instrumentation. Various robotic arms, gears, cams, pulleys, electric and mechanical motors (including pneumatics and/or hydraulics), etc. may be employed for this purpose and may be designed with a robotic surgical system to assist the surgeon during the course of an operation or treatment. Such robotic systems may include remotely steerable systems, automatically flexible surgical systems, remotely flexible surgical systems, remotely articulating surgical systems, wireless surgical systems, modular or selectively configurable remotely operated surgical systems, etc.
The robotic surgical systems may be employed with one or more consoles that are next to the operating theater or located in a remote location. In this instance, one team of surgeons or nurses may prep the patient for surgery and configure the robotic surgical system with one or more of the instruments disclosed herein while another surgeon (or group of surgeons) remotely control the instruments via the robotic surgical system. As can be appreciated, a highly skilled surgeon may perform multiple operations in multiple locations without leaving his/her remote console which can be both economically advantageous and a benefit to the patient or a series of patients.
The robotic arms of the surgical system are typically coupled to a pair of master handles by a controller. The handles can be moved by the surgeon to produce a corresponding movement of the working ends of any type of surgical instrument (e.g., end effectors, graspers, knifes, scissors, etc.) which may complement the use of one or more of the embodiments described herein. The movement of the master handles may be scaled so that the working ends have a corresponding movement that is different, smaller or larger, than the movement performed by the operating hands of the surgeon. The scale factor or gearing ratio may be adjustable so that the operator can control the resolution of the working ends of the surgical instrument(s).
The master handles may include various sensors to provide feedback to the surgeon relating to various tissue parameters or conditions, e.g., tissue resistance due to manipulation, cutting or otherwise treating, pressure by the instrument onto the tissue, tissue temperature, tissue impedance, etc. As can be appreciated, such sensors provide the surgeon with enhanced tactile feedback simulating actual operating conditions. The master handles may also include a variety of different actuators for delicate tissue manipulation or treatment further enhancing the surgeon's ability to mimic actual operating conditions.
Referring also to
Each of the robot arms 1002, 1003 may include a plurality of members, which are connected through joints, and an attaching device 1009, 1011, to which may be attached, for example, a surgical tool “ST” supporting an end effector 1100 (e.g., a pair of jaw members), in accordance with any one of several embodiments disclosed herein, as will be described in greater detail below.
The robot arms 1002, 1003 may be driven by electric drives (not shown) that are connected to the control device 1004. The control device 1004 (e.g., a computer) may be set up to activate the drives, in particular by means of a computer program, in such a way that the robot arms 1002, 1003, their attaching devices 1009, 1011 and thus the surgical tool (including the end effector 1100) execute a desired movement according to a movement defined by means of the manual input devices 1007, 1008. The control device 1004 may also be set up in such a way that it regulates the movement of the robot arms 1002, 1003 and/or of the drives.
The medical work station 1000 may be configured for use on a patient “P” lying on a patient table 1012 to be treated in a minimally invasive manner by means of the end effector 1100. The medical work station 1000 may also include more than two robot arms 1002, 1003, the additional robot arms likewise connected to the control device 1004 and telemanipulatable by means of the operating console 1005. A medical instrument or surgical tool (including an end effector 1100) may also be attached to the additional robot arm. The medical work station 1000 may include a database 1014 coupled with the control device 1004. In some embodiments, pre-operative data from patient/living being “P” and/or anatomical atlases may be stored in the database 1014.
Persons skilled in the art will understand that the structures and methods specifically described herein and shown in the accompanying figures are non-limiting exemplary embodiments, and that the description, disclosure, and figures should be construed merely as exemplary of particular embodiments. It is to be understood, therefore, that the present disclosure is not limited to the precise embodiments described, and that various other changes and modifications may be effected by one skilled in the art without departing from the scope or spirit of the disclosure. Additionally, the elements and features shown or described in connection with certain embodiments may be combined with the elements and features of certain other embodiments without departing from the scope of the present disclosure, and that such modifications and variations are also included within the scope of the present disclosure. Accordingly, the subject matter of the present disclosure is not limited by what has been particularly shown and described.
Allen, IV, James D., Kerr, Duane E.
Patent | Priority | Assignee | Title |
11218822, | Mar 29 2019 | Cilag GmbH International | Audio tone construction for an energy module of a modular energy system |
11234756, | Dec 28 2017 | Cilag GmbH International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
11253315, | Dec 28 2017 | Cilag GmbH International | Increasing radio frequency to create pad-less monopolar loop |
11259807, | Feb 19 2019 | Cilag GmbH International | Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device |
11259830, | Mar 08 2018 | Cilag GmbH International | Methods for controlling temperature in ultrasonic device |
11266468, | Dec 28 2017 | Cilag GmbH International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
11272931, | Feb 19 2019 | Cilag GmbH International | Dual cam cartridge based feature for unlocking a surgical stapler lockout |
11278280, | Mar 28 2018 | Cilag GmbH International | Surgical instrument comprising a jaw closure lockout |
11278281, | Dec 28 2017 | Cilag GmbH International | Interactive surgical system |
11284936, | Dec 28 2017 | Cilag GmbH International | Surgical instrument having a flexible electrode |
11291444, | Feb 19 2019 | Cilag GmbH International | Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout |
11291445, | Feb 19 2019 | Cilag GmbH International | Surgical staple cartridges with integral authentication keys |
11291495, | Dec 28 2017 | Cilag GmbH International | Interruption of energy due to inadvertent capacitive coupling |
11291510, | Oct 30 2017 | Cilag GmbH International | Method of hub communication with surgical instrument systems |
11298129, | Feb 19 2019 | Cilag GmbH International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
11298130, | Feb 19 2019 | Cilag GmbH International | Staple cartridge retainer with frangible authentication key |
11298148, | Mar 08 2018 | Cilag GmbH International | Live time tissue classification using electrical parameters |
11304699, | Dec 28 2017 | Cilag GmbH International | Method for adaptive control schemes for surgical network control and interaction |
11304720, | Dec 28 2017 | Cilag GmbH International | Activation of energy devices |
11304745, | Dec 28 2017 | Cilag GmbH International | Surgical evacuation sensing and display |
11304763, | Dec 28 2017 | Cilag GmbH International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
11308075, | Dec 28 2017 | Cilag GmbH International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
11311306, | Dec 28 2017 | Cilag GmbH International | Surgical systems for detecting end effector tissue distribution irregularities |
11311342, | Oct 30 2017 | Cilag GmbH International | Method for communicating with surgical instrument systems |
11317915, | Feb 19 2019 | Cilag GmbH International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
11317919, | Oct 30 2017 | Cilag GmbH International | Clip applier comprising a clip crimping system |
11317937, | Mar 08 2018 | Cilag GmbH International | Determining the state of an ultrasonic end effector |
11324557, | Dec 28 2017 | Cilag GmbH International | Surgical instrument with a sensing array |
11331100, | Feb 19 2019 | Cilag GmbH International | Staple cartridge retainer system with authentication keys |
11331101, | Feb 19 2019 | Cilag GmbH International | Deactivator element for defeating surgical stapling device lockouts |
11337746, | Mar 08 2018 | Cilag GmbH International | Smart blade and power pulsing |
11344326, | Mar 08 2018 | Cilag GmbH International | Smart blade technology to control blade instability |
11350978, | Sep 07 2018 | Cilag GmbH International | Flexible neutral electrode |
11357503, | Feb 19 2019 | Cilag GmbH International | Staple cartridge retainers with frangible retention features and methods of using same |
11364075, | Dec 28 2017 | Cilag GmbH International | Radio frequency energy device for delivering combined electrical signals |
11369377, | Jun 25 2019 | Cilag GmbH International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
11382697, | Dec 28 2017 | Cilag GmbH International | Surgical instruments comprising button circuits |
11389164, | Dec 28 2017 | Cilag GmbH International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
11389188, | Mar 08 2018 | Cilag GmbH International | Start temperature of blade |
11399858, | Mar 08 2018 | Cilag GmbH International | Application of smart blade technology |
11406382, | Mar 28 2018 | Cilag GmbH International | Staple cartridge comprising a lockout key configured to lift a firing member |
11406390, | Oct 30 2017 | Cilag GmbH International | Clip applier comprising interchangeable clip reloads |
11410259, | Dec 28 2017 | Cilag GmbH International | Adaptive control program updates for surgical devices |
11413042, | Oct 30 2017 | Cilag GmbH International | Clip applier comprising a reciprocating clip advancing member |
11419630, | Dec 28 2017 | Cilag GmbH International | Surgical system distributed processing |
11419667, | Dec 28 2017 | Cilag GmbH International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
11423007, | Dec 28 2017 | Cilag GmbH International | Adjustment of device control programs based on stratified contextual data in addition to the data |
11424027, | Dec 28 2017 | Cilag GmbH International | Method for operating surgical instrument systems |
11432885, | Dec 28 2017 | Cilag GmbH International | Sensing arrangements for robot-assisted surgical platforms |
11446052, | Dec 28 2017 | Cilag GmbH International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
11457944, | Mar 08 2018 | Cilag GmbH International | Adaptive advanced tissue treatment pad saver mode |
11464511, | Feb 19 2019 | Cilag GmbH International | Surgical staple cartridges with movable authentication key arrangements |
11464532, | Mar 08 2018 | Cilag GmbH International | Methods for estimating and controlling state of ultrasonic end effector |
11464535, | Dec 28 2017 | Cilag GmbH International | Detection of end effector emersion in liquid |
11464559, | Dec 28 2017 | Cilag GmbH International | Estimating state of ultrasonic end effector and control system therefor |
11471156, | Mar 28 2018 | Cilag GmbH International | Surgical stapling devices with improved rotary driven closure systems |
11471206, | Sep 07 2018 | Cilag GmbH International | Method for controlling a modular energy system user interface |
11504192, | Oct 30 2014 | Cilag GmbH International | Method of hub communication with surgical instrument systems |
11510720, | Sep 07 2018 | Cilag GmbH International | Managing simultaneous monopolar outputs using duty cycle and synchronization |
11510741, | Oct 30 2017 | Cilag GmbH International | Method for producing a surgical instrument comprising a smart electrical system |
11517309, | Feb 19 2019 | Cilag GmbH International | Staple cartridge retainer with retractable authentication key |
11529187, | Dec 28 2017 | Cilag GmbH International | Surgical evacuation sensor arrangements |
11534196, | Mar 08 2018 | Cilag GmbH International | Using spectroscopy to determine device use state in combo instrument |
11540855, | Dec 28 2017 | Cilag GmbH International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
11559307, | Dec 28 2017 | Cilag GmbH International | Method of robotic hub communication, detection, and control |
11559308, | Dec 28 2017 | Cilag GmbH International | Method for smart energy device infrastructure |
11564703, | Oct 30 2017 | Cilag GmbH International | Surgical suturing instrument comprising a capture width which is larger than trocar diameter |
11564756, | Oct 30 2017 | Cilag GmbH International | Method of hub communication with surgical instrument systems |
11571234, | Dec 28 2017 | Cilag GmbH International | Temperature control of ultrasonic end effector and control system therefor |
11576677, | Dec 28 2017 | Cilag GmbH International | Method of hub communication, processing, display, and cloud analytics |
11589865, | Mar 28 2018 | Cilag GmbH International | Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems |
11589888, | Dec 28 2017 | Cilag GmbH International | Method for controlling smart energy devices |
11589915, | Mar 08 2018 | Cilag GmbH International | In-the-jaw classifier based on a model |
11589932, | Dec 28 2017 | Cilag GmbH International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
11596291, | Dec 28 2017 | Cilag GmbH International | Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws |
11601371, | Dec 28 2017 | Cilag GmbH International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
11602366, | Oct 30 2017 | Cilag GmbH International | Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power |
11602393, | Dec 28 2017 | Cilag GmbH International | Surgical evacuation sensing and generator control |
11612408, | Dec 28 2017 | Cilag GmbH International | Determining tissue composition via an ultrasonic system |
11612444, | Dec 28 2017 | Cilag GmbH International | Adjustment of a surgical device function based on situational awareness |
11617597, | Mar 08 2018 | Cilag GmbH International | Application of smart ultrasonic blade technology |
11628006, | Sep 07 2018 | Cilag GmbH International | Method for energy distribution in a surgical modular energy system |
11633237, | Dec 28 2017 | Cilag GmbH International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
11638602, | Sep 07 2018 | Cilag GmbH International | Coordinated stackable multi-module surgical system |
11648022, | Oct 30 2017 | Cilag GmbH International | Surgical instrument systems comprising battery arrangements |
11659023, | Dec 28 2017 | Cilag GmbH International | Method of hub communication |
11666331, | Dec 28 2017 | Cilag GmbH International | Systems for detecting proximity of surgical end effector to cancerous tissue |
11666368, | Sep 07 2018 | Cilag GmbH International | Method for constructing and using a modular surgical energy system with multiple devices |
11672605, | Dec 28 2017 | Cilag GmbH International | Sterile field interactive control displays |
11678881, | Dec 28 2017 | Cilag GmbH International | Spatial awareness of surgical hubs in operating rooms |
11678901, | Mar 08 2018 | Cilag GmbH International | Vessel sensing for adaptive advanced hemostasis |
11678925, | Sep 07 2018 | Cilag GmbH International | Method for controlling an energy module output |
11678927, | Mar 08 2018 | Cilag GmbH International | Detection of large vessels during parenchymal dissection using a smart blade |
11684400, | Sep 07 2018 | Cilag GmbH International | Grounding arrangement of energy modules |
11684401, | Sep 07 2018 | Cilag GmbH International | Backplane connector design to connect stacked energy modules |
11696760, | Dec 28 2017 | Cilag GmbH International | Safety systems for smart powered surgical stapling |
11696778, | Oct 30 2017 | Cilag GmbH International | Surgical dissectors configured to apply mechanical and electrical energy |
11696790, | Sep 07 2018 | Cilag GmbH International | Adaptably connectable and reassignable system accessories for modular energy system |
11696791, | Sep 07 2018 | Cilag GmbH International | Surgical instrument utilizing drive signal to power secondary function |
11701139, | Mar 08 2018 | Cilag GmbH International | Methods for controlling temperature in ultrasonic device |
11701162, | Mar 08 2018 | Cilag GmbH International | Smart blade application for reusable and disposable devices |
11701185, | Dec 28 2017 | Cilag GmbH International | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
11707293, | Mar 08 2018 | Cilag GmbH International | Ultrasonic sealing algorithm with temperature control |
11712280, | Sep 07 2018 | Cilag GmbH International | Passive header module for a modular energy system |
11712303, | Dec 28 2017 | Cilag GmbH International | Surgical instrument comprising a control circuit |
11737668, | Dec 28 2017 | Cilag GmbH International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
11743665, | Mar 29 2019 | Cilag GmbH International | Modular surgical energy system with module positional awareness sensing with time counter |
11744604, | Dec 28 2017 | Cilag GmbH International | Surgical instrument with a hardware-only control circuit |
11751872, | Feb 19 2019 | Cilag GmbH International | Insertable deactivator element for surgical stapler lockouts |
11751958, | Dec 28 2017 | Cilag GmbH International | Surgical hub coordination of control and communication of operating room devices |
11759224, | Oct 30 2017 | Cilag GmbH International | Surgical instrument systems comprising handle arrangements |
11771487, | Dec 28 2017 | Cilag GmbH International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
11775682, | Dec 28 2017 | Cilag GmbH International | Data stripping method to interrogate patient records and create anonymized record |
11779337, | Dec 28 2017 | Cilag GmbH International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
11786245, | Dec 28 2017 | Cilag GmbH International | Surgical systems with prioritized data transmission capabilities |
11786251, | Dec 28 2017 | Cilag GmbH International | Method for adaptive control schemes for surgical network control and interaction |
11793537, | Oct 30 2017 | Cilag GmbH International | Surgical instrument comprising an adaptive electrical system |
11801098, | Oct 30 2017 | Cilag GmbH International | Method of hub communication with surgical instrument systems |
11804679, | Sep 07 2018 | Cilag GmbH International | Flexible hand-switch circuit |
11806062, | Sep 07 2018 | Cilag GmbH International | Surgical modular energy system with a segmented backplane |
11818052, | Dec 28 2017 | Cilag GmbH International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
11819231, | Oct 30 2017 | Cilag GmbH International | Adaptive control programs for a surgical system comprising more than one type of cartridge |
11832840, | Dec 28 2017 | Cilag GmbH International | Surgical instrument having a flexible circuit |
11832899, | Dec 28 2017 | Cilag GmbH International | Surgical systems with autonomously adjustable control programs |
11839396, | Mar 08 2018 | Cilag GmbH International | Fine dissection mode for tissue classification |
11844545, | Mar 08 2018 | Cilag GmbH International | Calcified vessel identification |
11844579, | Dec 28 2017 | Cilag GmbH International | Adjustments based on airborne particle properties |
11857152, | Dec 28 2017 | Cilag GmbH International | Surgical hub spatial awareness to determine devices in operating theater |
11857252, | Mar 30 2021 | Cilag GmbH International | Bezel with light blocking features for modular energy system |
11864728, | Dec 28 2017 | Cilag GmbH International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
11864845, | Dec 28 2017 | Cilag GmbH International | Sterile field interactive control displays |
11871901, | May 20 2012 | Cilag GmbH International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
11890065, | Dec 28 2017 | Cilag GmbH International | Surgical system to limit displacement |
11896279, | Sep 07 2018 | Cilag GmbH International | Surgical modular energy system with footer module |
11896322, | Dec 28 2017 | Cilag GmbH International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
11896443, | Dec 28 2017 | Cilag GmbH International | Control of a surgical system through a surgical barrier |
11903587, | Dec 28 2017 | Cilag GmbH International | Adjustment to the surgical stapling control based on situational awareness |
11903601, | Dec 28 2017 | Cilag GmbH International | Surgical instrument comprising a plurality of drive systems |
11911045, | Oct 30 2017 | Cilag GmbH International | Method for operating a powered articulating multi-clip applier |
11918269, | Sep 07 2018 | Cilag GmbH International | Smart return pad sensing through modulation of near field communication and contact quality monitoring signals |
11918302, | Dec 28 2017 | Cilag GmbH International | Sterile field interactive control displays |
11923084, | Sep 07 2018 | Cilag GmbH International | First and second communication protocol arrangement for driving primary and secondary devices through a single port |
11925350, | Feb 19 2019 | Cilag GmbH International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
11925373, | Oct 30 2017 | Cilag GmbH International | Surgical suturing instrument comprising a non-circular needle |
11931027, | Mar 28 2018 | CILAG GMBH INTERNTIONAL | Surgical instrument comprising an adaptive control system |
11931089, | Sep 07 2018 | Cilag GmbH International | Modular surgical energy system with module positional awareness sensing with voltage detection |
11931110, | Dec 28 2017 | Cilag GmbH International | Surgical instrument comprising a control system that uses input from a strain gage circuit |
11937769, | Dec 28 2017 | Cilag GmbH International | Method of hub communication, processing, storage and display |
11937817, | Mar 28 2018 | Cilag GmbH International | Surgical instruments with asymmetric jaw arrangements and separate closure and firing systems |
11950823, | Sep 07 2018 | Cilag GmbH International | Regional location tracking of components of a modular energy system |
11950860, | Mar 30 2021 | Cilag GmbH International | User interface mitigation techniques for modular energy systems |
11963727, | Mar 30 2021 | Cilag GmbH International | Method for system architecture for modular energy system |
11968776, | Mar 30 2021 | Cilag GmbH International | Method for mechanical packaging for modular energy system |
11969142, | Dec 28 2017 | Cilag GmbH International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
11969216, | Dec 28 2017 | Cilag GmbH International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
11978554, | Mar 30 2021 | Cilag GmbH International | Radio frequency identification token for wireless surgical instruments |
11980411, | Mar 30 2021 | Cilag GmbH International | Header for modular energy system |
11986185, | Mar 28 2018 | Cilag GmbH International | Methods for controlling a surgical stapler |
11986233, | Mar 08 2018 | Cilag GmbH International | Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device |
11998193, | Dec 28 2017 | Cilag GmbH International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
11998258, | Sep 07 2018 | Cilag GmbH International | Energy module for driving multiple energy modalities |
12053159, | Dec 28 2017 | Cilag GmbH International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
12059124, | Dec 28 2017 | Cilag GmbH International | Surgical hub spatial awareness to determine devices in operating theater |
12059169, | Dec 28 2017 | Cilag GmbH International | Controlling an ultrasonic surgical instrument according to tissue location |
12059218, | Oct 30 2017 | Cilag GmbH International | Method of hub communication with surgical instrument systems |
12062442, | Dec 28 2017 | Cilag GmbH International | Method for operating surgical instrument systems |
12076010, | Dec 28 2017 | Cilag GmbH International | Surgical instrument cartridge sensor assemblies |
12079460, | Jun 28 2022 | Cilag GmbH International | Profiles for modular energy system |
12096916, | Dec 28 2017 | Cilag GmbH International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
12096985, | Dec 28 2017 | Cilag GmbH International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
12121255, | Oct 30 2017 | Cilag GmbH International | Electrical power output control based on mechanical forces |
12121256, | Mar 08 2018 | Cilag GmbH International | Methods for controlling temperature in ultrasonic device |
12127729, | Dec 28 2017 | Cilag GmbH International | Method for smoke evacuation for surgical hub |
12127777, | Mar 30 2021 | Cilag GmbH International | Energy delivery mitigations for modular energy systems |
12133660, | Dec 28 2017 | Cilag GmbH International | Controlling a temperature of an ultrasonic electromechanical blade according to frequency |
12133709, | Dec 28 2017 | Cilag GmbH International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
12133773, | Dec 28 2017 | Cilag GmbH International | Surgical hub and modular device response adjustment based on situational awareness |
12137991, | Dec 28 2017 | Cilag GmbH International | Display arrangements for robot-assisted surgical platforms |
12142373, | Mar 30 2021 | Cilag GmbH International | Modular energy system with hardware mitigated communication |
12144136, | Sep 07 2018 | Cilag GmbH International | Modular surgical energy system with module positional awareness with digital logic |
12144518, | Dec 28 2017 | Cilag GmbH International | Surgical systems for detecting end effector tissue distribution irregularities |
12178491, | Sep 07 2018 | Cilag GmbH International | Control circuit for controlling an energy module output |
D924139, | Sep 05 2019 | Cilag GmbH International | Energy module with a backplane connector |
D928725, | Sep 05 2019 | Cilag GmbH International | Energy module |
D928726, | Sep 05 2019 | Cilag GmbH International | Energy module monopolar port |
D939545, | Sep 05 2019 | Cilag GmbH International | Display panel or portion thereof with graphical user interface for energy module |
D950728, | Jun 25 2019 | Cilag GmbH International | Surgical staple cartridge |
D952144, | Jun 25 2019 | Cilag GmbH International | Surgical staple cartridge retainer with firing system authentication key |
D964564, | Jun 25 2019 | Cilag GmbH International | Surgical staple cartridge retainer with a closure system authentication key |
ER1440, | |||
ER4905, | |||
ER5084, | |||
ER5760, | |||
ER5971, | |||
ER7067, | |||
ER7212, | |||
ER7557, | |||
ER8736, | |||
ER9518, | |||
ER9597, |
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